51D2067337 CLIA NUMBER - ARTHUR B HODGES CENTER AT EDGEWOOD SUMMIT

Laboratory Demographics

  • CLIA Code: 51D2067337
  • Facility Name: ARTHUR B HODGES CENTER AT EDGEWOOD SUMMIT
  • Facility Address: 300 BAKER LANE
    CHARLESTON, WV
    ZIP 25302
  • Facility Phone: 304 720-2740
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. VANESSA OWSLEY
  • NPI Number: 1295798312
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 51D2067337
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARTHUR B HODGES CENTER AT EDGEWOOD SUMMIT
Street 300 BAKER LANE
City CHARLESTON
State WV
ZIP 25302
Phone 304 720-2740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. VANESSA OWSLEY

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This page was last updated on: 9/29/2025